title: Nutrition Report Cards: an opportunity to improve school lunch selection.
abstract: OBJECTIVE
  To explore the feasibility and implementation efficiency of Nutritional Report Cards (NRCs) in helping children make healthier food choices at school.
  
  
  METHODS
  Pilot testing was conducted in a rural New York school district (K-12). Over a five-week period, 27 parents received a weekly e-mail containing a NRC listing how many meal components (fruits, vegetables, starches, milk), snacks, and a-la-carte foods their child selected. We analyzed choices of students in the NRC group vs. the control group, both prior to and during the intervention period. Point-of-sale system data for a-la-carte items was analyzed using Generalized Least Squares regressions with clustered standard errors.
  
  
  RESULTS
  NRCs encouraged more home conversations about nutrition and more awareness of food selections. Despite the small sample, the NRC was associated with reduced selection of some items, such as the percentage of those selecting cookies which decreased from 14.3 to 6.5 percent. Additionally, despite requiring new keys on the check-out registers to generate the NRC, checkout times increased by only 0.16 seconds per transaction, and compiling and sending the NRCs required a total weekly investment of 30 minutes of staff time.
  
  
  CONCLUSIONS
  This test of concept suggests that NRCs are a feasible and inexpensive tool to guide children towards healthier choices.
authors.affiliation: John S. Dyson Professor of Marketing at the Dyson School of Applied Economics and Management, Cornell University, Ithaca, New York, United States of America.
authors.forename: Brian
authors.initials: B
authors.lastname: Wansink
authors.forename: David R
authors.initials: DR
authors.lastname: Just
authors.forename: Richard W
authors.initials: RW
authors.lastname: Patterson
authors.forename: Laura E
authors.initials: LE
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D002648:Child; D002755:Choice Behavior; D003142:Communication; D005240:Feasibility Studies; D006262:Health; D006801:Humans; D062409:Lunch; D009753:Nutritive Value; D058028:Research Report; D012574:Schools / Q000706:statistics & numerical data*